Dyspnoea with bodyache and sexual problems

Pt male 44 yrs came to me with complaints of dyspnoea with uneasy feeling of chest and nose stopped up , heaviness of body , drowsiness with bodyache daily from 30 yrs < rainy season , night > hot water apply . Complaints more after fishing in ponds before 10 yrs . Pain in calf muscles of legs < night , rainy season > winter , day , massaging , walking and hot apply from 8 yrs . Pain in right side of chest in small spot from 1 yr Pain in left heel < rest > motion , hot water . Headache - eyebrow to occiput alternately both sides from morning < bowel movement irregular , afternoon , summer . Dimness of vision and burning < day . Dysuria - burning and pain in urethra from 2 yrs before and after urination for a while < working in sunlight > bathing and drinking . Aversion to sexual activity , relaxation of penis , weakness and drowsiness of body from 14 yrs F/ H mother rheumatism P/ H electric shocked and fracture of hand from high altitude 10 yrs ago Mind extrovert , irritable and to close down himself after illness . Hot patient Sleep disturbance Appetite less Nausea during eating , craving for meat and hot food , thirst + dryness of mouth in the evening . Sweat + urine + stool unsatisfied frequent urging noisy flatulence . Please advise your best opinion of the case .

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Medicines like Sil, bry, colch, lach, rhus tox can be thought of. Arranging the complaints chronologically will help us to understand the evolution of the remedy, be it single or layers. General Investigation can also be advised to confirm or rule out any underlying systematic causes.

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Dulca, rhustox, silica can be helpful

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Dx Asthma Rx Ars alb 30 tds

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Dulcamara may be indicated

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Arsenic alb

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